— 照護管理 · EASY · MCQ —
護理師在繁忙的內外科病房進行工作分派，下列哪項任務適合委派給輔助人員 (AP)？
A nurse is preparing to delegate tasks in a busy medical-surgical unit. Which task is appropriate for the nurse to delegate to an Assistive Personnel (AP)?
- AObtaining a urine specimen from an indwelling catheter✓ 正解從留置導尿管採取尿液標本
- BMonitoring the client's response to an initial dose of medication監測患者對初始劑量藥物的反應
- CFeeding a client who has had a recent stroke餵食近期發生中風的患者
- DAssessing the skin of a client with limited mobility評估活動受限患者的皮膚狀況
— Explanation · 中文詳解 —
根據護理委派原則（Delegation），護理師僅能委派任務給輔助人員（AP），若任務涉及「評估（Assessment）」、「診斷（Diagnosis）」、「計畫（Planning）」或「評值（Evaluation）」等護理程序，則嚴禁委派。導尿管採尿屬於常規技術性護理，適合委派給受過訓練的 AP。
Obtaining a urine specimen from an indwelling catheter is a routine, standardized procedure that falls within the scope of practice for Assistive Personnel. Tasks involving assessment, diagnosis, planning, or evaluation of medication responses must remain the responsibility of the licensed nurse.
✦ 台美臨床差異
在美國，AP（如 CNA）的職責界線非常明確，護理師若委派不當導致病人傷害需負法律責任。台灣臨床環境中，護理師與照服員的職責重疊較多，但在 NCLEX 考試中必須嚴守「護理師負責評估」的界線。